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LACEY CORNELIUSEN, LICSW, LLC
NPI 1285064246
Social Worker - Clinical in Minot, ND

Active since November 12, 2013
315 MAIN ST S, STE 301, MINOT, ND 58701(406) 939-1976 Get Directions Write a Review

NPPES record last updated: November 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lacey Corneliusen, Licsw, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY CORNELIUSEN, LICSW, LLC (NPI 1285064246) is a healthcare organization registered as a clinical in Minot, North Dakota and active in the NPI registry since November 2013. The organization lists Lacey Dawn Cornelisen, Therapist, as its authorized official.

NPPES Registry Identity

NPI1285064246
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLACEY CORNELIUSEN, LICSW, LLC
Location Address315 MAIN ST S, STE 301Minot, ND 58701-3956
Mailing Address1310 2nd St SeMinot, ND 58701-5912 · (406) 939-1976
Phone(406) 939-1976
Organization SubpartNo
Authorized OfficialLacey Dawn CornelisenTherapist · (406) 939-1976
Enumeration DateNovember 12, 2013
✔ NPI 1285064246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ND · 4558
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
315 MAIN ST S, Minot, ND 58701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MIKE VINCENT BURCKHARD LICSW
Counselor (Mental Health)
315 MAIN ST S, SUITE 315
MINOT, ND 58701
Ward County (701) 852-5876
JORDYN BROWN M.S.
Speech-Language Pathologist
315 MAIN ST S, SUITE 104
MINOT, ND 58701
Ward County (701) 837-9801
DR. RAJNIKANT LILADHAR MEHTA MD
Physical Medicine & Rehabilitation
315 MAIN ST S, SUITE 102
MINOT, ND 58701
Ward County (701) 839-6664
MRS. JANET LEE MAXSON APNP, PHD
Nurse Practitioner
315 MAIN ST S, SUITE 205
MINOT, ND 58701
Ward County (701) 857-5854
LACEY CORNELIUSEN, LICSW, LLC
Social Worker (Clinical)
315 MAIN ST S, STE 301
MINOT, ND 58701
Ward County (701) 838-1558
DR. MICHAEL DEAN SHANNON D.S.S.
Dentist (Periodontics)
315 MAIN ST S, SUITE 302
MINOT, ND 58701
Ward County (701) 839-7288

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Corneliusen, Licsw, LLC's NPI number?

The NPI number for Lacey Corneliusen, Licsw, LLC is 1285064246. It was assigned to this organization in the NPPES registry on November 12, 2013.

Where is Lacey Corneliusen, Licsw, LLC located?

Lacey Corneliusen, Licsw, LLC is located at 315 Main St S Ste 301, Minot, ND 58701. The listed phone number is (406) 939-1976.

What is Lacey Corneliusen, Licsw, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Lacey Corneliusen, Licsw, LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lacey Corneliusen, Licsw, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacey Corneliusen, Licsw, LLC was last updated on November 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.